Dr. Michael Rohwer
To understand what has happened and why, we need to begin with an everyday reality in the story of one elementary student.
Hospitals and front-line physicians live at the interface of life and death where real-world facts beyond the immediate care setting control their lives and those of the individuals they care for.
Population-based methods work well in medicine. Answers found in simplified and controlled environments remain applicable in reality because the practice of medicine combines them with qualitative observation.
An initiative in Marion and Polk counties has a solution to strengthen at-risk families and build more resilient neighborhoods.
The Fostering Hope Initiative brings multiple partners together around a common goal, aligning resources and sharing leadership for planning and results.
OPINION- The relationship between purchasers, providers, and consumers is dysfunctional.
OPINION -- All of us and everything around us simultaneously participate in many networks and systems. Technology has extended what we refer to as a system, but the idea of connecting people, tools and resources to achieve a purpose is ancient.
This article follows “A tale of two systems”, published in a prior edition of The Lund Report. This article explains the first fundamental change necessary for successful management of healthcare delivery. It is also the first principle of the Curandi Model™, a “systems thinking” approach to healthcare reform.
OPINION-- Within healthcare delivery the patient-centered primary care home is improving care and lowering cost. And, in social services, co-location with clinical services similarly improves outcomes and lower cost. Why aren’t these innovative micro-system improvements resulting in premium decreases?
OPINION -- Everyone agrees: Healthcare is unsustainable in its current form. Its cost growth has been the top category of inflation for decades. It is in fact growing faster than the economy, and it cannot and will not go up forever. How did we get here?